Evaluation on Health Promotion and Disease Prevention at Health Service Region 1 in 2014

Abstract

The Survey research on health promotion and disease prevention was done in 2013. The objective of this study was to explore the situation of health promotion and disease prevention in Health Service Region 1. The interview was performed in 6,271 participants of all age groups. The results showed that in achieve 22 key indicators of all age group compared with targets showed that the 9 key indicators did not achieve. They were 4 indicators of maternal and child health; Pregnant women received oral iodized ferrous tablets 67.7 % (target 100%), Low birth weight 9%          (target 7%), Adolescent Mothers 167 per 1,000 adolescent population (target 50 per 1,000 adolescent), exclusive breastfeeding 43.2%        (target 7%). There was 1 indicators of school age and adolescent group; The elementary school children grade 1-6 had the standard height and body shape 73.9%( target 80%). There were 4 indicators of working group and reproductive group; The screening on non-communicable diseases; Diabetes Mellitus 70.8% (target 90%), Hypertension 86.3 (target 90%), The screening for cervical cancer 58.6 % (target 80%) and breast self-examination 55.2% (target 80%)

The results provide evidence that the implementation of health promotion and disease prevention should be managed to efficiently and to resolve the problem.           The suggestions were; 1)focus on the development process management system in both health promotion and disease prevention strategy and strengthened on the involvement of community self-reliance and set the effective budget for support the community activities,      2) capacity building of community leaders and health volunteers for take action of mechanism driven in health promotion and disease prevention by recognizes the corresponding compensation the activities of the Health Security Office, 3)Enhancing the capacity of the sub-district health promotion hospitals because of they were the government mechanism and can provide the service that meet the needs of community, 4) Improving the consultancy services system for adolescents in community by associated with the sub-district health promotion hospitals and the schools,               5) Improving  the risk communication strategies on a cancer among reproductive age women,     6) expanding the strategies health care for aging and set the intensive driven operations to prevent falls and care system by providing health care during the daytime because most of the Elderly falls during the daytime,                 7) strengthen the coverage of  health promotion and disease prevention database system for using information to make the effective implementation plan.